Complaints and Suggestions

Essential Supportive Services Feedback Form

Thank you for contacting us with your suggestions, comments, concerns or complaints. Please complete all information below to the best of your knowledge. If, at any time, you need assistance completing this form or wish to have assistance filing a complaint rather than sending it electronically, please contact us at (919) 550-0639 and ask to speak to someone in the quality management unit. Please note: if an anonymous submission is sent, unfortunately, staff cannot follow directly or provide an update about how the incident was handled or resolved without contact information. Thanks again for your submission

Contact Information

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Issues Involves

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Issue

Please include as much detail as you can. Names, dates, and locations are very helpful in helping us look into your suggestion/comment/concern. Also include previous attempts you have made to address your suggestion/comment/complaint, if applicable